| NPI | 1285969717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: OH 35099900) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35099900) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.099900) | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2024-02-13 |